Individual
KATILYN DALTON-WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
18 WARD ST # 1, SALEM, MA 01970-5025
(617) 470-2488
Mailing address
18 WARD ST # 1, SALEM, MA 01970-5025
(617) 470-2488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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